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Organization

LA PALMA URGENT & FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAHMUNIR A SHAH M.D. (OWNER)
(714) 994-2273
Entity
Organization

Contact information

Practice address
7851 WALKER ST., SUITE# 102, LA PALMA, CA 90623-1734
(714) 994-2273
(714) 994-2224
Mailing address
7851 WALKER ST., SUITE# 102, LA PALMA, CA 90623-1734
(714) 994-2273
(714) 994-2224

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1962
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126-56-59312
NPI
CA
01
C42493
MD LICENSE
CA
01
C42493A
MEDICARE
CA
Enumeration date
03/17/2009
Last updated
03/17/2009
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